The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

Fixed lymph nodes

Lymph nodes that are large, firm, and fixed to the tissue

Nonpalpable lymph nodes

Rubbery, discrete, and mobile lymph nodes

Answer and Explanation

The Correct Answer is C

A.   Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B.   Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C.   Nonpalpable lymph nodes are a normal finding.
D.   Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.

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Correct Answer is B

Explanation

A. This is a vibration felt on the chest wall when a patient speaks, often used to assess lung sounds. It is not associated with the crackling sensation described here.
B. The coarse, crackling sensation felt on the skin surface when palpating is crepitus, which occurs when air escapes into the subcutaneous tissue, often due to trauma, infection, or the presence of a pneumothorax.
C. These are abnormal lung sounds, such as crackles, wheezes, or rhonchi, heard with a stethoscope during auscultation, not felt on the chest wall during palpation.
D. A friction rub is a grating or scraping sound heard with a stethoscope, typically due to inflammation of the pleural surfaces. It is not a sensation felt on the chest wall.

A. Atrioventricular (AV) node B. Bundle branches C. Bundle of His D. Sinoatrial (SA) node

Correct Answer is D

Explanation

A. Atrioventricular (AV) node: The AV node conducts electrical signals from the atria to the ventricles, but it is not the pacemaker of the heart.
B. Bundle branches: The bundle branches transmit the electrical impulses to the ventricles but are not the primary pacemaker.
C. Bundle of His: The Bundle of His conducts electrical signals from the AV node to the bundle branches and ventricles but does not act as the pacemaker.
D. Sinoatrial (SA) node: The SA node, located in the right atrium, is the primary pacemaker of the heart, initiating electrical impulses that regulate heart rhythm.

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The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

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Naxlex Comprehensive Predictor Exams

During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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